Susan Sanford, PT LIC ACC
NPI 1104905934ActiveIndividual· Physical Therapist· Edgartown, MA
Physical Therapist (PT LIC ACC) with Vineyard Complementary Medicine Inc, practicing in Edgartown, Massachusetts. Medicare paid $75,471 for services to 151 patients in 2024.
Overview
| NPI | 1104905934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT LIC ACC |
| Sole proprietor | No |
| NPI issued | Nov 3, 2006 |
| Last updated in NPPES | Feb 14, 2023 |
| Certified by provider | Feb 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10886 | MA |
| Acupuncturist | 171100000X | 215639 | MA |
| Physical Therapist | 225100000X | 005094 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 3,885 across 22 procedure codes |
| Paid by Medicare | $75,471 |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Vineyard Complementary Medicine IncEdgartown, MA · 8 clinicians
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